Annual Enrollment & Resource Guide - EMPLOYEE
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Annual Enrollment
& Resource Guide
FOR INSURANCE, RETIREMENT AND WELLNESS PROGRAMS EMPLOYEE
JULY 2021
A PUBLICATION OF
THE OFFICE OF EMPLOYEE BENEFITSJULY 2021
LETTER FROM THE EXECUTIVE DIRECTOR
Dear UT Benefits Medical Plan participants,
There is great news to share for the upcoming 2021-2022 plan year. For the fourth year since 2017, there will be no rate
increase for the UT SELECT Medical plan (including prescription coverage) for plan year 2021-2022.
And, for our benefits-eligible employees in the greater Dallas / Fort Worth metroplex area, I am happy to share there will be no
premium rate increase for the UT CONNECT Medical plan either.
The ability to keep Medical plan rates flat this year is the result of numerous factors including participant engagement, efficient
medical plan resources and a reduction in some areas of care during the COVID-19 pandemic.
WHY DOES MEMBER ENGAGEMENT AND THE USE OF THE EFFICIENT PLAN RESOURCES MATTER TO YOU?
The UT SELECT plan is a self-insured program. This means every dollar spent for medical and prescription claims is funded from
money contributed by the State of Texas and your institution’s share of the monthly premiums. It is also funded by you through
your monthly premium contribution if you cover dependents, and your cost share (copayments, for example) when you seek
medical services or fill a prescription.
How you utilize services, by seeking treatment through BCBSTX network providers for medical treatment, or utilizing lower cost
yet clinically equivalent generic medications, saves both you and the UT SELECT plan money.
Also, there are a variety of customer friendly health programs designed to deliver excellent results while also saving you money,
all at no cost to you! For example:
• Health Advocacy Solutions (HAS) service, a no cost • Hinge Health is a digital, coach-led program personalized
customer service benefit from BCBS which helps you to help you conquer chronic back, knee and hip pain
navigate healthcare, provider network status, claim without surgery or drugs,
questions, and billing inquiries, • Omada helps you build healthy habits and helps reduce
• MDLIVE® is a virtual physician visit with $0 copay, to be the risk of Type 2 diabetes for qualifying patients, and
used for non-urgent, non-routine care such as infections, • Livongo is a simplified approach to diabetes
management for individuals living with Type 1 or Type 2
diabetes.
Since these programs were introduced in September 2019, along with other benefits such as the 90-day supply of maintenance
medications being available at UT pharmacies and Walgreens (in addition to home delivery through Express Scripts), health plan
participants have taken great interest in commanding their own healthcare experiences.
Your actions truly do make a difference, and I encourage you and your family members to continue to utilize the customer
friendly, high value services available through the UT Benefits program.
Finally, there is no medical evidence of insurability required this year for Disability Insurance so if you were thinking of electing
this valuable benefit, now is time to make that election. Remember, during this Annual Enrollment, review your insurance
options carefully and make the elections that best benefit you and your family members. Have a great Annual Enrollment and
rest of the summer.
Sincerely,
Laura Chambers
EXECUTIVE DIRECTOR
OFFICE OF EMPLOYEE BENEFITS | UT SYSTEMEMPLOYEE | July 2021
Annual Enrollment &
Resource Guide
This special edition guide provides details on the benefits enrollment process and the uniform benefits plan for
UT employees and their qualified dependents. It also contains important information you may wish to refer to
throughout the year.
IN THIS ISSUE IMPORTANT: AVAILABILITY OF SUMMARY
HEALTH INFORMATION
Annual Enrollment Timeline.......................................................... 5
Choosing a health coverage option is an important decision. To help
What to Expect in the New Plan Year............................................ 5
you make an informed choice, your plan makes available a Summary
Annual Enrollment Detailed Timeline............................................ 6
of Benefits and Coverage (SBC), which summarizes important
Keep Your ID Cards........................................................................ 6
information about any health coverage option in a standard format,
Out-of-Pocket Premiums for 2021-2022........................................ 7
to help you compare across options. The Uniform Summary of
UT SELECT Medical Plan Overview for 2021-2022........................ 8
Benefits and Coverage (SBC) provision of the Affordable Care Act
Continue Using these Powerful Resources for 2021-2022............ 9
requires all insurers and group health plans to provide consumers
Prescription Plan......................................................................... 11
with an SBC to describe key plan features in a mandated format,
UT CONNECT Medical Plan Enhancements (DFW Only).............. 12
including limitations and exclusions. The provision also requires that
Dental Benefits........................................................................... 14
consumers have access to a uniform glossary of terms commonly
Vision Benefits............................................................................ 15
used in health care coverage.
Blue Cross Blue Shield of Texas (BCBSTX)
Group Term Life and AD&D Insurance......................................... 16 To review an SBC for your medical plan, visit the website
Blue Cross Blue Shield of Texas (BCBSTX) utbenefits.link/SBC. You can view the glossary at
Short-term and Long-term Disability........................................... 17 utbenefits.link/CMSGlossary. To request a copy of these
UT FLEX: Convenient, Easy Savings............................................. 18 documents free of charge, you may call the SBC hotline at (855)
UT Retirement: Annual Enrollment and 756-4448.
Your Retirement Savings Opportunities................................... 20
Living Well: Make It a Priority..................................................... 21
Dependent Eligibility and Documentation................................... 22
Other Eligibility........................................................................... 22
How to Change your Benefits..................................................... 24
Mobile App Instructions.............................................................. 25
Important to Know...................................................................... 26
Evidence of Insurability............................................................... 27
Evidence of Eligibility.................................................................. 27
Changes During the Year............................................................. 28
Nondiscrimination Notice........................................................... 28
Accessibility Requirements Notice.............................................. 29
UT Benefits Contacts: Institutions............................................... 30
UT Benefits Contacts: Plan Administrators.................................. 30UT Benefits for one.
Health for UT System.
IMPORTANT
Carefully review this guide for
information about insurance plan
premium rates, plan changes, and other
Annual Enrollment details.
Annual Enrollment Timeline If you don’t want to make any changes, you
don’t have to do anything to continue
with your current plan selections,
except for UT FLEX which must be
MAKE ELECTIONS elected each year.
ANNUAL ENROLLMENT
(AE) PERIOD
JUL 15 JUL 31 AUG 15 SEP 1
REVIEW FOLLOW UP PLAN YEAR BEGINS
AE OPTIONS LETTER EOI OR EOE, DEDUCTIBLES AND
+ AE WEBSITE OPENS IF REQUIRED OUT-OF-POCKET LIMITS RESET
What to Expect in the New Plan Year
SEPTEMBER 1, 2021 ONGOING: KEEP IN TOUCH
• Plan changes begin. YOUR ADDRESS | Notify your institution about any changes to your
• New ID cards for UT CONNECT enrollees and any new plans elected. contact information.
• Deductibles and limits start over. Watch for your first prescription
fill to be more than you may be used to paying due to the new plan CONTACT INFO | Keep the Contact Information section of this
year deductible starting over. newsletter to contact insurance vendors for plan information or your
institution about your coverage.
Annual Enrollment & Resource Guide | for Employees 5Annual Enrollment
Detailed Timeline
REVIEW
REVIEW Annual Enrollment Website available by July 15, 2021
MAKE • Possible Virtual Annual Enrollment Meetings (at your institution)
BY JULY 15
INFORMED
BENEFITS • Insurance vendors available for plan-specific questions (see information on OEB
Virtual Annual Enrollment website and Contacts at the end of this publication)
CHOICES WITH
RESOURCES www.utsystem.edu/benefits
AVAILABLE TO
HELP YOU
MAKE July 15 – July 31, 2021
ELECTIONS UT Benefits Enrollment Options email or letter delivered by July 15
ANNUAL lists current coverage, options for coverage for the next plan year beginning
ENROLLMENT September 1, 2021, and instructions for making changes online.
PERIOD
During this period, you can:
JULY 15 – 31
• Make changes to your benefits,
• Enroll in Disability insurance without EOI,
• Add or remove dependents,
• Enroll in UT FLEX, and
• Change coverage options for certain plans.
This is a good time to update other items if you’ve had changes during the year, like:
• Contact information,
• Tobacco user status, and
• Beneficiary information.
FOLLOW UP Deadline Wednesday, August 15, 2021
BY AUGUST 15
COMPLETE EOI Evidence of Insurability (EOI) is required to enroll in certain insurance coverage,
OR EOE including Voluntary Group Term Life. EOI is not required to add Disability
(IF REQUIRED) insurance this Annual Enrollment only.
Evidence of Eligibility (EOE) is required when you enroll your spouse or a dependent
for the first time.
Keep Your ID Cards
Keep your ID cards for insurance plans you did not change. Current and new UT CONNECT enrollees will receive new ID cards.
If you need additional ID cards, simply call the insurance carrier and
If you enroll in a new insurance plan type during Annual Enrollment or request additional cards.
you change the plan you are currently enrolled in (such as from Vision
to Vision Plus), you will receive a new insurance ID card prior to the
start of the 2021-2022 plan year.
6 Annual Enrollment & Resource Guide | for EmployeesOut-of-Pocket Premiums
for 2021-2022
REVIEW
There are no premium rate changes for the Medical plans for plan VOLUNTARY GROUP TERM LIFE RATES
year 2021-2022. This is the fourth time since September 1, 2017 with no rate Please be sure to review the rate associated with your age as of
increase for UT SELECT Medical! Age and salary-based premiums may change September 1, 2021.
depending on your age and salary as of September 1, 2021.
EMPLOYEE RATE CHART
AGE OF SUBSCRIBER RATE PER $1,000
PLAN ON 9/01/21 COVERAGE
EMPLOYEE EMPLOYEE & EMPLOYEE & EMPLOYEE &
SPOUSE CHILD(REN) FAMILY
15 - 34 $0.037
NO CHANGE TO PREMIUMS 35 - 39 $0.047
UT SELECT 40 - 44 $0.063
Medical $0 $270.42 $282.82 $532.52 45 - 49 $0.097
FULL-TIME
50 - 54 $0.150
UT CONNECT*
55 - 59 $0.233
Medical
$0 $243.38 $254.54 $479.26
FULL-TIME 60 - 64 $0.364
DFW only 65 - 69 $0.650
UT SELECT
70 - 74 $0.752
Medical $314.02 $749.04 $702.16 $1,117.46
PART-TIME 75 - 79 $0.932
UT CONNECT* 80 and over $1.634
Medical Employee spouse rates available in My UT Benefits.
$314.02 $749.04 $702.16 $1,117.46
PART-TIME
DFW only
VOLUNTARY ACCIDENTAL DEATH &
UT SELECT DISMEMBERMENT
$28.52 $54.14 $59.66 $84.84
Dental
MONTHLY PREMIUM RATE
UT SELECT
$61.40 $116.60 $128.66 $183.30 $0.14 per $10,000 coverage
Dental Plus
DeltaCare
$8.80 $16.74 $18.50 $26.40
Dental HMO SHORT-TERM AND LONG-TERM DISABILITY
CHANGES TO PREMIUMS MONTHLY PREMIUM RATES
$5.02 $7.90 $8.10 $12.84 Short Term Disability $0.30 per $100 of monthly income
Superior
$0.88 $1.40 $1.42 $2.26 Long Term Disability $0.34 per $100 of monthly income
Vision
decrease decrease decrease decrease
$7.64 $11.98 $12.82 $18.10
Superior * UT CONNECT is an Accountable Care Organization medical plan
$1.36 $2.10 $2.26 $3.20
Vision Plus available in Dallas Fort Worth area only. See details on page 11.
decrease decrease decrease decrease
Tobacco Premium Program Basic Coverage package includes medical, prescription, $40K Basic
$0 to $90 per month based upon tobacco user status Life, and $40K Basic AD&D for employees.
Annual Enrollment & Resource Guide | for Employees 7UT SELECT Medical Plan Overview for 2021-2022
NO PREMIUM INCREASE FOR PLAN YEAR 2021-2022 REFRESHER AND ADDITION
REVIEW
There is great news to share regarding premium rates for the upcoming UT HEALTH NETWORK
2021-2022 plan year. For the fourth time since September 1, 2017, there The UT Health Network is an enhanced tier plan design for UT
is no rate increase for UT SELECT Medical. SELECT participants. UT SELECT participants receive their highest
Full-time benefits-eligible employees will continue to pay nothing out-of- level of benefits when services are delivered by a UT Health
pocket for your coverage as premium sharing fully covers that cost. Part- network physician participating at a UT-owned or partner facility.
time benefits-eligible employees will continue to receive 50% premium In cases where a UT physician provides care at non-UT owned
sharing (with no change in cost), and the cost of dependent coverage will or partner facility, members can still save on physician costs. UT
remain unchanged as well.* Health Network benefits are also available at the participating
medical institution employee and nursing clinics.
Please see the out-of-pocket premium chart within this special edition
Annual Enrollment and Resource Guide for details. Participating UT Medical institutions include::
• UT Austin Dell Medical School
PLAN DESIGN: NO CHANGES FOR OFFICE VISIT • UT Health East Texas
COPAYS, ANNUAL DEDUCTIBLE OR COINSURANCE,
PLUS PLAN ENHANCEMENTS • UT Medical Branch Galveston
For the UT SELECT Medical Plan (including the UT Health Tier) there • UT Health Houston
are no changes related to office visit copays, the annual deductible, or • UT Rio Grande Valley
member coinsurance. • UT Health San Antonio*
There is, however, a change to the Affordable Care Act (ACA) out-of- *Effective September 1, 2021, University Hospital System in San
pocket limit. The ACA limit combines medical and prescription drug costs Antonio will become a UT Health Network provider for all UT
and will increase to $8,550 (from $8,150) per individual and $17,100 SELECT members. As a UT Health Network provider, University
(from $16,300) per family. These limits on total out-of-pocket expenses Hospital System will offer a lower member cost share for inpatient
provide an extra level of financial protection for you and your family. hospital stays and hospital-based services.
NEW! Enhancements to the UT SELECT program include: For more information about the UT Health Network, please visit
• Increase in the annual maximum for Physical Therapy and Occupational our website at utbenefits.link/UTHealthNetwork.
Therapy visits to 35 (from 30) per condition (Speech Therapy continues
to be 60 visits per year). To locate a UT Health Network provider, log into Blue Access for
Members and review the UT SELECT Provider Finder.
UPDATE: TELEMEDICINE
UT SELECT telemedicine visits will remain a plan benefit with an
applicable copay. However, effective September 1, 2021, telemedicine
benefits will cover services consistent with and determined by CMS and
the American Medical Association (AMA) as clinically appropriate for
telemedicine. BCBSTX providers are aware of the CMS and AMA service
guidelines. Members may contact BCBSTX Customer Service with any
questions.
UPDATE: COVID TREATMENT
Effective September 1, 2021, treatment for COVID will be covered as “any
other illness.” Applicable medical plan deductibles, copays, coinsurance
as well as prescription drug expenses related to treating COVID-19 will
apply. The cost of the vaccine and testing will remain covered 100%.
*Graduate student employees eligible for the UT SELECT Medical plan
and the UT Student Health Insurance Plan administered by Academic
Health Plans and BCBSTX (also known as Academic Blue at certain
institutions) should contact their Institution Human Resources and
Benefits Offices with questions.
8 Annual Enrollment & Resource Guide | for EmployeesContinue Using these Powerful Resources for 2021-2022
A HEALTH ADVOCATE SOLUTIONS (HAS) OMADA®: A DIGITAL SUPPORT PROGRAM
REVIEW
REPRESENTATIVE CAN HELP GUIDE YOU THROUGH Omada is a breakthrough digital program that surrounds you with the tools
THE HEALTH CARE PROCESS
and support you need to build healthy habits that stick. If you have, or are at
We know the key to helping members partner with their health plan is risk for, certain chronic health conditions such as diabetes, you may be eligible
to ensure awareness and access. The BCBSTX Health Advocate Solutions for this new program. With Omada, you get:
(HAS) team helps UT SELECT participants by: • An interactive program that adapts to you;
• Connecting members to providers; • An Omada health coach to help keep you on track;
• Sorting out complex cases for members; • A wireless smart scale to monitor your progress;
• Helping employees and retirees understand their health benefits; • A small online peer group for real-time support;
• Helping participants shop for quality, lower-cost health care; and • And more!
• HAS representatives are available 24/7 to provide expert level
customer service and assistance. Omada’s approach combines proven science with rich data to help you
make the changes that matter most — whether it’s eating, activity, sleep
HAS representatives are on the job and ready to help. Just call a health or stress. Our published results show the average participant loses about
advocate at (866) 882-2034 or download the BCBSTX app to chat live 10 pounds along the way.
with a health advocate today. They be able to assist you in coordinating If you or your adult family members are enrolled in the UT SELECT
your care through the offered programs. Blue Cross and Blue Shield of Texas health plan and are at risk for Type
2 diabetes or heart disease, the Omada program is included in your
*Health advocates do not replace the care of a doctor and you should
benefits package.
talk to your doctor about any medical questions or concerns.
Contact a health advocate at (866) 882-2034 for more information.
VIRTUAL VISITS POWERED BY MDLIVE®
Getting sick after hours or on weekends used to mean a lengthy, costly
LIVONGO – A HIGH-TECH APPROACH TO
trip to the emergency room or urgent care center.* With MDLIVE®,
MANAGING DIABETES
you have 24/7/365 access to virtual visits for your primary care and Livongo for Diabetes is a health benefit available through the UT SELECT
behavioral health needs. You don’t have to leave the comfort of your health plan. The program helps make living with diabetes easier by providing
own home to talk to a doctor, and best of all, your virtual visit with you with a connected meter, unlimited free strips and lancets, and coaching.
MDLIVE® has a $0 copay!
The program is provided to you and your family members with diabetes who
With virtual visits, you get: are covered by the UT SELECT health plan.
• 24/7 access to independently contracted, board-certified doctors;
• Access via online video, mobile app or telephone; and Benefits of the program include:
• E-prescriptions sent to your local pharmacy, when appropriate. • More than a standard meter: The Livongo meter is a connected device
and gives real-time tips and automatically uploads your blood glucose
Virtual visit doctors can treat a variety of health conditions, including: readings, making log books a thing of the past.
• Allergies, • Fever (age 3+), • Strips are covered by your UT SELECT health plan: Get strips and
• Asthma, • Nausea, lancets from Livongo and have your supplies shipped right to your
• Behavioral Health, • Pink eye, door.
• Colds and flu, • Rash, and • Coaching anytime and anywhere: Livongo coaches are Certified
• Ear problems (age 12+), • Sinus infections. Diabetes Educators who are available anytime by phone, text and
mobile app to help give guidance on your nutrition and lifestyle
Download the MDLIVE® app now and register. It’s simple and you just questions.
need your first name, date of birth, and BCBSTX member ID number If you have any questions about this program, please call a health
(found on your ID card). For more information about MDLIVE®, contact advocate at (866) 882-2034 for more information.
a health advocate at (866) 882-2034 or visit MDLIVE.com/bcbstx for
more information.
*In the event of an emergency, this service should not take place of an
emergency room or urgent care facility. Proper diagnosis should come
from your doctor and medical advice is between you and your doctor.
MDLIVE®, an independent company, operates and administers the virtual
visits program and is solely responsible for its operations and that of its
contracted providers.
Annual Enrollment & Resource Guide | for Employees 9Continue Using these Powerful Resources, continued
OVERCOME BACK, KNEE, HIP, NECK AND SEASONS OF LIFESM
REVIEW
SHOULDER PAIN WITH HINGE HEALTH Seasons of Life is a proactive outreach program offered through your
Hinge Health is an innovative digital health solution to help you get relief UT SELECT and UT CONNECT benefits and Blue Cross and Blue Shield of
from back, knee, hip, neck and shoulder pain. The program is available at Texas (BCBSTX) that provides personalized claims resolution assistance
no additional cost to you and your covered dependents over the age of to you and your dependents who may be dealing with the death of a
18 who are enrolled in the UT SELECT health plan. Once enrolled in the loved one.
program, you’ll be paired with your personal health coach who will be When BCBSTX learns of a death, a specially trained customer advocate
with you every step of the way and tailor the program to your needs. will send a handwritten sympathy card. This advocate will become
You’ll also get the Hinge Health Welcome Kit, which includes a free your single point of contact for the duration of the program. You and/
tablet and wearable motion sensors that give real-time feedback while or your family can then contact the customer advocate at a time that is
you do the exercises. The 12-week program only takes 45 minutes per convenient for you to discuss any insurance-related matters.
week. BCBSTX will conduct a full review of the deceased’s reimbursement
You can call a health advocate at (866) 882-2034 for more information. history, claims status and customer service history before contacting you
and/or your family, so the customer advocate can anticipate needs and
OVIA HEALTH: A DIGITAL SUPPORT PROGRAM ensure that compassionate help is available when it’s needed most.
Ovia Health provides maternity and family apps to support you through While the Seasons of Life program is launched proactively based on
your entire parenthood journey. These apps are included with your UT information provided to BCBSTX, please know that you and/or your
SELECT and UT CONNECT health plan, offered through Blue Cross and dependents can contact a health advocate for assistance if needed.
Blue Shield of Texas (BCBSTX). Simply call (866) 882-2034, weekdays, 7 a.m. – 7 p.m.
With Ovia, you’ll have access to enhanced, personalized health and
wellness features:
• Health assessment and symptom tracking | Receive alerts and
predictive, personal coaching when Ovia detects a potential medical
issue.
• More than fifty physician-developed clinical programs to help
you be as healthy as possible | Engage with personalized health
and wellness programs to help you navigate infertility, sexual health,
birth planning, preterm delivery, mental health, breastfeeding, and
more.
• Unlimited 1-on-1 coaching | Message instantly with Registered
Nurse health coaches to ask all your questions.
• Career and return-to-work programs | Find coaching and career
advice for preparing for maternity leave, returning to work, and being
a working parent.
Download the app that’s right for you:
Ovia Fertility – Ovia Pregnancy – Ovia Parenting –
Health & Fertility Pregnancy & Family & working
Postpartum parents
To create an account, choose “I have Ovia Health as a benefit” before
tapping “Sign up” and make sure to select BCBSTX as your health plan
and enter your employer name. You’ll also need to enter your first and
last name (as listed with your health plan), date of birth and ZIP code.
Once you accept the terms and conditions, you’re ready to explore Ovia!
You can also contact a health advocate at (866) 882-2034 for more
information or should you have any questions.
10 Annual Enrollment & Resource Guide | for EmployeesPrescription Plan
Your prescription drug benefits are included as part of your medical YOUR PRESCRIPTION BENEFIT: UPDATE ON
REVIEW
coverage. The UT SELECT Prescription Plan is administered by Express MEDICATION COVERAGE REVIEW
Scripts and the same benefits are provided for both UT SELECT Medical
The UT SELECT prescription drug program utilizes Express Scripts’
and UT CONNECT plan participants.
coverage management programs to help ensure you receive the
There are no plan design changes for the prescription drug program prescription drugs you need at a reasonable cost. The three primary
for the upcoming plan year. While there are no changes, we want to management programs are: prior authorization, step therapy and
remind members there are a number of ways to help you maximize your quantity duration guidelines. Each program is administered by Express
prescription benefit and save you money. Scripts to determine whether your use of certain medications is
These options include filling 90-day maintenance medications via appropriate for both clinical and cost considerations.
home delivery and at certain retail locations and substituting generic PRIOR AUTHORIZATION | Just as some healthcare plans approve some
medications when available. medical procedures before they’re done to ensure those procedures
are needed, some drugs need a “prior authorization” to make sure
REMINDER: MORE OPTIONS AVAILABLE they are right for you and are covered by your pharmacy benefit. Prior
FOR FILLING YOUR 90-DAY MAINTENANCE authorization is a program that lets you get the effective medication
MEDICATIONS that you and your family need and helps your plan sponsor maintain
As part of your UT SELECT and UT CONNECT prescription benefit, you affordable prescription-drug coverage for everyone your plan covers.
have access to a more convenient and money- saving feature for your When your pharmacist tells you that your prescription needs a prior
maintenance medications (those drugs you take regularly for ongoing authorization, Express Scripts needs more information to know if your
conditions). Through your plan, you could pay less when you fill a 90-day plan covers the drug. Only your physician can provide this information
supply of your maintenance medications at a participating pharmacy and request a prior authorization.
(Express Scripts home delivery, Walgreens, and the University of Texas STEP THERAPY | Step therapy is a program that lets you get the safe
pharmacies) than you would pay for three 30-day supplies at a non- and effective treatment you and your family need. It also helps your plan
preferred retail pharmacy. sponsor maintain affordable prescription drug coverage for everyone
There are Two Ways to Save on Your Maintenance Prescriptions your plan covers.
1. For savings and convenience, take advantage of home delivery from In step therapy, medications are grouped in categories based on
the Express Scripts Pharmacy. Get 90-day supplies of your medications treatment and cost. First-line medications are the first step and are
delivered direct to you, safely and securely, with free standard typically generic and lower-cost brand-name medications approved by
shipping. the U.S. Food & Drug Administration (FDA). They are proven to be safe
Log in at express-scripts.com/ut or call the number listed on the and effective, as well as affordable.
back of your member ID card to learn how to get started with home Second-line drugs typically are brand-name drugs. They are best suited
delivery. Express Scripts can contact your doctor to have a new 90-day for the few patients who don’t respond to first-line medications. Second-
prescription sent right to you. line drugs are the most expensive options.
2. Or, you can fill your maintenance prescriptions at a nearby Walgreens DRUG QUANTITY MANAGEMENT | Drug quantity management (DQM)
or UT pharmacy. The pharmacist will contact your doctor to get a new is a program that makes sure that patients are using medications at
90-day prescription or will transfer your current 90-day prescriptions. doses that have been proven effective. It provides the medication you
Your copayment for your 90-day supply will be the same whether need for good health , while making sure you receive it in the amount –
you fill your prescriptions through Express Scripts home delivery or quantity – considered safe.
or at a participating Walgreens or UT pharmacy. To determine if a medication you have been prescribed has a prior
If you have questions about the 90-day maintenance medication benefit authorization, step-therapy, or drug quantity limit, visit the UT specific
or want assistance to help you get started, call Express Scripts at (800) Express Scripts website at www.express-scripts.com/utselect and use
818-0155 24 hours a day, 7 days a week. the “price a medication” feature to see if you have a prescription that
will require coverage review. If coverage review is required, you or your
doctor can initiate the review by calling Express Scripts at (800) 753-
2851.
REMINDER: MID-YEAR FORMULARY CHANGES | While mid-year
formulary changes don’t occur frequently, it is possible that a medication
can change co-pay tiers during the plan year. For more information on
what your cost will be please use the member website at www.express-
scripts.com where you can run drug coverage checks to see your cost.
Annual Enrollment & Resource Guide | for Employees 11UT CONNECT Medical Plan Enhancements (DFW Only)
The UT CONNECT Accountable Care Organization (ACO) is a comprehensive UT Benefits medical plan offering in the Dallas / Fort Worth (DFW) area.
REVIEW
The plan is available for Employees and certain Retirees living in the designated service area. This plan is separate from UT SELECT Medical and can
be elected during Annual Enrollment. Through the UT CONNECT ACO, participants will have access to excellent care managed through a designated
primary care provider and receive all of their medical services from a top quality network of Southwestern Health Resources providers and facilities.
ENHANCED CUSTOMER SERVICE ELIGIBILITY
UT CONNECT’s customer service platform can help make navigating The UT CONNECT ACO focuses on achieving better health outcomes
healthcare simpler. It’s called CONNECT and is available to Employees through closely managed medical care. Benefits are offered only for care
and Retirees that enroll in the plan – providing personalized support to obtained through a specific network of providers and facilities in the
find doctors, schedule appointments with physicians, answer questions DFW area. Eligibility for the plan is limited to benefits-eligible Employees
about benefits, and help find ways to save even more on out-of-pocket and non-Medicare eligible Retirees who live within the DFW service
expenses for care. This service offers a single phone number to reach area. Retirees living in the area who are Medicare-eligible or who cover
CONNECT navigators and nurses, who have access to UT Southwestern Medicare-eligible family members are not eligible to enroll in the UT
Medical directors. CONNECT ACO, but continue to be eligible for the UT SELECT Medical
plan.
VIRTUAL VISITS POWERED BY MDLIVE® IMPORTANT NOTE: New enrollees wishing to enroll in the UT CONNECT
Getting sick after hours or on weekends used to mean a lengthy, costly ACO plan must make an election during Annual Enrollment. If you are
trip to the emergency room or urgent care center.* With MDLIVE®, you currently enrolled in the UT CONNECT ACO plan, you will continue in
have 24/7/365 access to virtual visits, provided by Blue Cross and Blue that plan unless you actively change to the UT SELECT Medical plan.
Shield of Texas (BCBSTX) and powered by MDLIVE®. You don’t have to
leave the comfort of your own home to talk to a doctor. And best of all, QUALITY PROVIDER NETWORK
your visit with MDLIVE® has a $0 copay! By enrolling in the UT CONNECT ACO plan (administered by Blue Cross
Blue Shield of Texas), you can be assured that you and your dependents
Virtual visits allow you to consult a doctor for non-emergency health will have access to carefully managed health care through a dedicated
conditions by phone, mobile app or online video — anytime, anywhere. network of outstanding Southwestern Health Resources (SWHR)
Speak to a doctor or schedule an appointment at a time that works best providers and facilities. To ensure a broad selection of providers in the
for you. With virtual visits, you get: North Texas area, UT CONNECT participants will have access to more
• 24/7 access to independently contracted, board-certified doctors; than 10,000 doctors and caregivers in the network. If you currently
• Access via online video, mobile app or telephone; and receive services from a SWHR affiliated physician, they will be in the
• E-prescriptions sent to your local pharmacy, when appropriate. UT CONNECT provider network. You can locate a network primary care
provider online or by contacting the UT CONNECT Team at (888) 399-
Through virtual visits, doctors can treat a variety of health conditions, 8889.
including: allergies, asthma, behavioral health, colds & flu, ear problems
(age 12+), fever (age 3+), nausea, pink eye, rash, and sinus infections. BENEFITS ENHANCEMENTS
• New! There are now 11 Texas Health Resources (THR) Urgent Care
Registering is simple and easy. You just need your first name, date of Facilities open with 9 more coming by early 2022. The THR Urgent
birth, and BCBSTX member ID number, found on your ID card. For more Care copay is $30 vs. $35 for all other non-THR urgent care facilities;
information about MDLIVE®, contact CONNECT customer service, or you
• New! Reduction of Primary Care Physician (PCP) copay to $5 (from
can call MDLIVE® at (888) 680-8646. Visit MDLIVE.com/bcbstx for
$15); the Specialist copay is increasing to $35 (from $25);
more information.
• New! Increase in the annual maximum for Physical Therapy and
*In the event of an emergency, this service should not take place of an Occupational Therapy visits to 35 (from 30) per condition (Speech
emergency room or urgent care facility. Proper diagnosis should come Therapy continues to be 60 visits per year);
from your doctor and medical advice is between you and your doctor.
• There is also a change to the Affordable Care Act out-of-pocket limit.
®
MDLIVE , an independent company, operates and administers the virtual This new limit (combining medical and prescription drug costs) is
visits program and is solely responsible for its operations and that of its increasing to $8,550 (from $8,150) per individual and to $17,100
contracted providers. (from $16,300) per family. These limits on total out-of-pocket expenses
provide an extra level of financial protection for you and your family;
12 Annual Enrollment & Resource Guide | for EmployeesUT CONNECT (DFW Only), continued
UPDATE: TELEMEDICINE CUSTOMER SERVICE
REVIEW
UT CONNECT telemedicine visits will remain a plan benefit with an For more information about the UT CONNECT ACO plan or further
applicable copay. However, effective September 1, 2021, telemedicine assistance, please call the UT CONNECT Team at (888) 399-8889.
benefits will cover services consistent with CMS and the American
Medical Association (AMA) as clinically appropriate for telemedicine. UT CONNECT UT SELECT
BCBSTX providers are aware of the CMS and AMA service guidelines. BENEFITS HIGHLIGHTS
ACO PPO
Members may contact the CONNECT team with any questions.
Administered by Blue
UPDATE: COVID TREATMENT Cross Blue Shield of YES YES
Effective September 1, 2021, treatment for COVID will be covered as “any Texas
other illness.” Applicable medical plan deductibles, copays, coinsurance
as well as prescription drug expenses related to treating COVID-19 will Copay for First Primary $30 (unless
apply. The cost of the vaccine and testing will remain covered 100%. Care Physician (PCP) $0 for preventive
Office Visit (Annually) care)
IMPORTANT NOTE: When enrolling in the UT CONNECT ACO plan,
participants must designate a primary care provider (PCP) from the list $5 (unless for $30 (unless
Copay for PCP Office
of SWHR and affiliated community physicians. All care is coordinated preventive for preventive
Visits (After the First Visit)
through the PCP so participants must have one on file to receive benefits. care) care)
SELECTING YOUR PCP Copay for Specialist
$35 $35
Office Visit
Returning UT CONNECT subscribers can verify or change their PCP
election online at www.bcbstx.com/utconnect
Copay for THR Urgent
New UT CONNECT subscribers can visit the BCBSTX UT CONNECT $30 $35
Care Facilities
Provider Finder. You may also call (888) 399-8889, Monday through
Friday, 7am – 7pm, for assistance or questions. Copay for First 5 Days
of Inpatient Care for UT
$100 per day
OUT-OF-POCKET PREMIUM SAVINGS Southwestern, Texas
$0 (maximum
Health, Children’s Health
Just as with the UT SELECT Medical plan, full-time Employee-only and $500)
and Cook Children’s
Retiree-only coverage is available at no cost to the primary subscriber.
Hospital Locations
Out-of-pocket premium rates for full-time employee and retiree
Subscriber/Spouse, Subscriber/Children, and Subscriber/Family levels of Copay for Outpatient
coverage are approximately 10% lower than those for the UT SELECT $50 $100
Facility (Plus Coinsurance)
Medical plan. Check the complete UT Benefits premium rate chart to see
the savings you can enjoy based on your level of coverage. Annual Deductible $350 /
$250 / $750
Individual / Family $1,050
ENHANCED PLAN DESIGN
When visiting UT CONNECT ACO network providers, benefits under the Coinsurance 80% plan / 20% member
UT CONNECT plan are similar to those on the UT SELECT Medical plan.
However, there are a few important differences between the two plans Coinsurance Maximum $2,150 / $2,150 /
outlined below, and you can go online to take a deeper look at the UT Individual / Family $6,450 $6,450
CONNECT plan at www.utconnect.com.
Annual Out-of-Pocket
IMPORTANT NOTE: Due to the managed care model of the UT CONNECT
Maximum Individual /
ACO plan, there are no benefits for out-of-network or out-of-area services
Family (includes medical
except for urgent care and medical emergencies. $8,550 / $17,100
and prescription drug
The UT CONNECT ACO plan will continue to utilize the prescription deductibles, copayments
drug plan (administered by Express Scripts) that matches the UT and coinsurance)
SELECT prescription benefit. The UT CONNECT ACO plan includes Basic
Urgent
Life Insurance for employees and retirees, plus Accidental Death and
Out-of-Network and Care and
Dismemberment Insurance for employees. YES
Out-of-Area Benefits Emergency
Only
Annual Enrollment & Resource Guide | for Employees 13Dental Benefits
DENTAL PLAN OPTIONS
REVIEW
UT System offers three dental plan options: two self-funded PPO plan options (UT SELECT Dental and UT SELECT Dental Plus) and a fully insured
dental HMO option (DeltaCare USA), all administered by Delta Dental Insurance Company. There are no benefit changes on any of the plans, and the
rates all remain the same.
UT SELECT DENTAL PPO PLAN OPTIONS
PPO dental plans allow you to see any dentist, although your benefits go further if you choose a network dentist. While both PPO plans cover most
of the same types of services and provisions, the premiums are different and the benefits are more enhanced in the UT SELECT Dental Plus plan.
Compare the benefits closely to select the plan that best meets your or your family’s needs.
PLAN DESIGN FEATURES UT SELECT DENTAL PPO UT SELECT DENTAL PLUS PPO
DEDUCTIBLE $25 deductible Plan pays deductible
ANNUAL BENEFIT ALLOWANCE $1,250 annual benefit maximum $3,000 annual benefit maximum
Separate $1,250 lifetime Separate $3,000 lifetime
ORTHODONTICS
orthodontic maximum orthodontic benefit maximum
Freedom to choose any licensed dentist. For Freedom to choose any licensed dentist. For
maximum savings, choose from the Dental Preferred maximum savings, choose from the Dental Preferred
Organization (DPO). If you choose a provider outside Organization (DPO). If you choose a provider outside
NETWORK OPTIONS
of the DPO network, you may be subject to balance of the DPO network, you may be subject to balance
billing. Contact Delta Dental customer service to billing. Contact Delta Dental customer service to
confirm the status of your dental provider. confirm the status of your dental provider.
BENEFITS AND COVERED SERVICES UT SELECT DENTAL PPO UT SELECT DENTAL PLUS PPO
DIAGNOSTIC & PREVENTIVE SERVICES 100% 100%
BASIC SERVICES 80% 100%
MAJOR SERVICES 50% 80%
ORTHODONTIC SERVICES 50% 80%
For additional information about the two UT SELECT Dental PPO plans briefly described above, please visit the Office of Employee Benefits website.
DENTAL HMO – DELTACARE USA DELTACARE USA PLAN DESIGN FEATURES
The DeltaCare USA Dental Health Maintenance Organization (DHMO) • Set copayments.
plans require you to choose one dentist or dental facility to coordinate • No annual deductibles and no maximums for covered benefits.
all your oral health needs. If you need to see a specialist, your primary • Low out-of-pocket costs for many diagnostic and preventive services
care dentist will refer you; specialty care requires preauthorization. (such as professional cleanings and regular dental exams).
When you receive a dental service, you pay a fixed dollar amount for the • Upon enrollment into the DeltaCare USA plan, you must select a
treatment (a “copayment”). Diagnostic and preventive services have a primary dentist. You may call Delta Dental at (800) 893-3582 to find
low copayment or even no copayment. However, generally if you visit a out if your current dentist is in the DeltaCare network. Do not make
dentist outside of the network, you may be responsible for the entire bill. any appointments until you are certain that DeltaCare has confirmed a
dentist for you and/or for each of your covered dependents.
• If you visit a dentist other than the one listed as your primary dental
Limitations & exclusions apply. Contact Delta Dental for specific
provider, your services may not be covered.
details about benefits and coverage at (800) 893-3582.
14 Annual Enrollment & Resource Guide | for EmployeesVision Benefits
VISION PLAN OPTIONS
REVIEW
There are no changes to the vision plan design this year. We are also pleased to announce there will be a decrease in monthly premiums for both the
Basic and Plus plans. You and your eligible dependents have the option to enroll in the basic plan or the Plus plan (offering enhanced benefits), both
administered by Superior Vision. While both plans cover most of the same types of services, the Plus plan includes some additional benefit at a slightly
higher premium. Compare the benefits closely to select the plan that best meets your or your family’s particular needs. See below for some examples.
PLAN DESIGN FEATURES SUPERIOR VISION PLAN SUPERIOR VISION PLUS PLAN
ANNUAL EXAM COPAYMENT $35 COPAY $35 COPAY
FRAME ALLOWANCE $140 $165
Member pays difference between lined
PROGRESSIVE LENS ALLOWANCE $120
trifocals and progressive retail cost.
Standard lenses and
additional lens options covered in full:
Standard lens options covered in full; • Polycarbonates (dependent
COVERED LENS OPTIONS
additional options not covered children to age 26)
• Scratch coat
• Ultraviolet coat
Best value provided when visiting a contracted Superior Vision provider.
NETWORK OF PROVIDERS Please contact Superior Vision customer service before you receive services
to confirm if your provider is in-network.
For additional information about each of the current UT vision plans briefly described above, please visit the OEB website. Plan limitations and
exclusions do apply for each of these plans. For specific details about plan benefits and coverage, please contact Superior Vision customer service at
(844) 549-2603.
Annual Enrollment & Resource Guide | for Employees 15Blue Cross Blue Shield of Texas (BCBSTX) Ancillary
Group Term Life and AD&D Insurance
REVIEW
Group Term Life (GTL) insurance from Blue Cross Blue Shield of Texas BENEFICIARY DESIGNATIONS
(formerly known as Dearborn National) can help ensure financial security The beneficiary designation often gets overlooked by participants in a
for your family and loved ones upon your death. There are no changes to group life insurance plan. Keep in mind that there is basic life insurance
Employee GTL coverage options for 2021-2022. and AD&D included with enrollment in the UT SELECT and UT CONNECT
Benefits for GTL include: Medical plan. So, almost all our employees have at least that basic
coverage and many have additional voluntary coverage.
• $40,000 Basic GTL included in the basic coverage package;
While your current beneficiary information may be on file with our
• With EOI approval, employees can elect Voluntary GTL (VGTL) up to 10 current carrier BCBS of Texas (formerly known as Dearborn National), you
times their annual salary up to a maximum of $2.0 million; are encouraged to update it in the enhanced My UT Benefits platform for
• Spouses of employees who have VGTL are eligible for up to $50,000 fast and easy online beneficiary management.
with EOI approval; and Online Beneficiary Management:
• Spouse and dependent children of employees with VGTL are eligible • Allows you to quickly designate and update beneficiary information
for $10,000 VGTL with no EOI required. anytime of the day or night;
Benefits-eligible active employees enrolled in UT SELECT Medical are • Helps avoid legal disputes and provides a safeguard for confidential
also automatically enrolled in the Accidental Death and Dismemberment information;
(AD&D) plan as part of the basic coverage package. There are no changes
to Employee AD&D coverage options for 2021-2022. Benefits for AD&D • Is offered to you at no charge; and
include: • Is secure and designed to protect privacy.
• $40,000 Basic AD&D included in the basic coverage package; Beneficiaries can be changed as often as circumstances shift and your
• Employees can elect Voluntary AD&D in increments of $10,000 up to a changes take effect immediately. Don’t forget to update your beneficiary
maximum of $2.0 million; information when you experience important life events like marriage,
divorce, or retirement. You’ll have an online record of your life insurance
• Spouses of employees who have Voluntary AD&D are eligible for up to designations,
50% of the employee amount up to a maximum of $1.0 million; and
• Dependent children of employees who have Voluntary AD&D are BENEFICIARY DESIGNATIONS FOR
eligible for $10,000. RETIREMENT PLANS
Also, please keep in mind that there is a separate beneficiary designation
EOI is never required for enrolling in or increasing Voluntary AD&D for necessary for employees who participate in TRS. For those who
employee or dependents. participate in any of the voluntary UT Retirement savings plans or in ORP,
you should contact your approved provider(s) to ensure your beneficiary
information for those accounts is up to date as well. You can find contact
information for all approved providers on the UT Retirement website at
www.utretirement.utsystem.edu/providers.htm
16 Annual Enrollment & Resource Guide | for EmployeesBlue Cross Blue Shield of Texas (BCBSTX) Ancillary
Short-term and Long-term Disability
REVIEW
A person has a three in ten chance of suffering a disabling illness or injury that would keep them out of work for three months or more during their
career. Disability insurance replaces a portion of your income if you suffer a prolonged illness or non-work-related injury that prevents you from
doing your job. BCBSTX Ancillary (formerly known as Dearborn National) provides short-term disability (STD) and long-term disability (LTD) insurance
benefits for active UT System employees. This benefit is not available for dependents and is not for you to take time to care for an ill or injured family
member.
SPECIAL ENROLLMENT OPPORTUNITY
During Annual Enrollment 2021, BCBSTX Ancillary is allowing a special one-time open enrollment where no Evidence of Insurability (medical
questionnaire) form is required. If you enroll later, outside of a status change event, you will be required to complete the questionnaire and may
not be approved for coverage
ENHANCEMENTS FOR STD AND LTD PLANS
Effective September 1st, 2021, new disability claimants will have access to enhanced disability benefits. The enhancements to the weekly (STD) and
monthly (LTD) benefits are shared below.
SHORT-TERM DISABILITY (STD) LONG-TERM DISABILITY (LTD)
The STD benefit is 60% of weekly earnings. The new STD maximum The LTD benefit is 60% of your monthly earnings. The new LTD maximum
benefit is increasing to $850 per week (from $693) and the elimination benefit is increasing to $15,000 per month (from $12,025) after 90 days
period has been reduced to 7 days (from 14), or the exhaustion of of disability or the exhaustion of your sick leave (whichever is longer).
yoursick leave (whichever is longer). The maximum period payable depends on your age at the time of
disability.
DISABILITY INSURANCE MONTHLY PREMIUM RATES
AGE AT DISABILITY MAXIMUM PERIOD PAYABLE
Short-term Disability $0.30 per $100 of monthly income
Less than age 60 To age 65, but not less than 5 years
Long-term Disability $0.34 per $100 of monthly income
Age 60 through 64 5 years
Age 65 through 69 To age 70, but not less than 1 year
Age 70 and over 1 year
Annual Enrollment & Resource Guide | for Employees 17UT FLEX: Health & Dependent Day Care Accounts
Participating in the UT FLEX flexible spending account program is convenient, easy, and best of all, saves you money! Through your UT FLEX
REVIEW
account, you can pay for eligible health care and dependent day care expenses using pre-tax dollars, which means you don’t pay federal income or
Social Security taxes on this money.
HOW MUCH MIGHT YOU SAVE?
WITH AN FSA WITHOUT AN FSA
ANNUAL SALARY $45,000 $45,000
HEALTH CARE FSA CONTRIBUTION (PRE-TAX) ($1,500) ($0)
DEPENDENT CARE FSA CONTRIBUTION (PRE-TAX) ($4,000) ($0)
TAXABLE INCOME AFTER CONTRIBUTION AMOUNT $39,500 $45,000
ESTIMATED TAXES WITHHELD (22.65%)* ($8,888) ($10,125)
POST-TAX INCOME $30,612 $34,875
MONEY SPENT AFTER TAXES ON HEALTH CARE
($0) ($5,500)
AND DEPENDENT DAY CARE EXPENSES
TAKE HOME PAY $30,612 $29,375
SAVINGS $1,237 $0
*Based on 7.65% FICA and 15% tax rate.
Note: Please be advised that this example is for illustrative purposes only. These projections are only estimates of tax information and should not be
assumed to be tax advice. Be sure to consult a tax advisor to determine the appropriate tax advice for your situation.
UT FLEX HEALTH CARE REIMBURSEMENT UT FLEX DEPENDENT DAY CARE REIMBURSEMENT
ACCOUNT (HCRA) ACCOUNT (DCRA)
With a UT FLEX HCRA, you can set aside up to $2,750 per year in pre-tax You can set aside pre-tax dollars (up to $5,000* per family per calendar
dollars to pay for eligible health care expenses, including these common year) to pay for eligible expenses for dependent day care that allows you
expenses: (and, if married, your spouse) to work, look for work, or go to school full
• Deductibles, copayments, and coinsurance; time. Eligible expenses for care of qualified dependents include costs for:
• Prescription drugs, insulin, and syringes; • Before / after school care;
• Dental exams, x-rays, fillings, crowns, and orthodontia; • Preschool or nursery school (for pre-kindergarten aged dependents);
• Eye exams, prescription eyeglasses, and prescription sunglasses; and
• Contact lenses and cleaning solutions; and • Summer day camp.
• Hearing aids.
You can find complete details about qualified dependents and eligible
You can find details about eligible HCRA expenses online at DCRA expenses online at www.MyUTFLEX.com.
www.MyUTFLEX.com.
IMPORTANT REMINDER
Don’t forget – to participate in UT
FLEX for 2021-2022, you must make your
election through My UT Benefits online
enrollment system during this year’s
Annual Enrollment period – even if you
are a current UT FLEX participant.
*Your UTFLEX Annual Election may be rounded down by several cents to
avoid overcontribution.
18 Annual Enrollment & Resource Guide | for EmployeesUT FLEX, continued
REVIEW
NO ADMINISTRATIVE FEES FOR PARTICIPATION OR DEBIT CARD
There are no administrative fees for participation in the UT FLEX program. The UT FLEX Debit Card will continue to be free for HCRA participants as
well. There is no UT FLEX Debit Card for the DCRA.
Using the UT FLEX Debit Card gives you several advantages, including: *Save all your receipts, especially those for dental and vision services
• Improving your cash flow throughout the plan year by allowing you to which will likely require documentation to prove the service was
directly access your account for eligible expenses rather than paying medically necessary.
out of pocket and filing for reimbursement. You have direct access to
your entire HCRA annual election amount beginning on the first day of Important: If you currently have a UT FLEX Debit Card, do NOT discard
the plan year (9/1/2021); it. As long as you make a UT FLEX HCRA election for 2021-2022, your
Debit Card will continue to work. Expiring cards will be replaced as
• Eliminating the need for you to complete claim forms or any other necessary, similar to most credit and debit cards.
paperwork for most expenses;* and,
• Ensuring that eligible purchases are automatically deducted from your
available UT FLEX HCRA balance so you always know how much you
have remaining in your account.
NOTE FOR CURRENT 2020-2021 PLAN YEAR UT FLEX NEED HELP DETERMINING HOW MUCH TO ELECT?
PARTICIPANTS Use the savings calculator online at www.MyUTFLEX.com to help you
estimate your eligible expenses by itemizing your unreimbursed health
With the recently released IRS Guidance due to COVID-19, current 2020- and dependent day care costs. To use the calculator, you will be asked
2021 plan year UT FLEX participants should consider any remaining to enter your annual estimated costs in each category. Once complete,
balance from 2020-2021 when making your 2021-2022 UT FLEX you’ll have an estimate for an annual election and you can also see your
elections. The deadline to file claims for 2020-2021 UT FLEX participants estimated tax savings!
is now August 31, 2022 for both the DCRA and HCRA plans (extended
from November 30, 2021). However, the deadlines and maximum PHYSICIAN EXERCISE REFERRAL
elections will return to normal for the plan year 2021-2022 plan year. Individuals with medical conditions that can be improved by physical
activity (such as diabetes, hypertension, depression, and more) are
able to receive reimbursement from their healthcare flexible spending
account to pay for some exercise expenses. A Letter of Medical Necessity
is needed from the physician advising the exercise. Details can be found
online.
If you need more information about the UT FLEX accounts before you make your annual election, contact Maestro Health customer service. Maestro
Health is the administrator for the UT FLEX programs: www.MyUTFLEX.com, (844) UTS-FLEX (844-887-3539), questions@maestrohealth.com.
UT FLEX MAXIMUMS AND IMPORTANT DATES
PLAN YEAR HCRA ELECTION MAXIMUM DCRA ELECTION MAXIMUM USE DATE & CLAIM DATE
2019-2020 $2,700 $5,000 Both Dates: 8/31/2021*
2020-2021 $2,750 $9,600* Both Dates: 8/31/2022*
HCRA Use Date: 11/15/2022
2021-2022 HCRA Claim Date: 11/30/2022
$2,750 $5,000
(Effective 9/1/2021) DCRA Use Date: 8/31/2022
DCRA Claim Date: 11/30/2022
*Per IRS guidelines in response to COVID-19
Annual Enrollment & Resource Guide | for Employees 19You can also read
